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~i~~ <br /> PROJECT AUTHORIZATION FORM Engineering <br /> Public Works <br /> City of Eugene <br /> j i~ : ~ ~ 858 Pearl <br /> Eugene, OR 97401 <br /> f l (541) 682-5291 <br /> Service ID:_ ~ ~s~' ~ SID ~PB ~G ~JC ~ JE ~ I~ <br /> i <br /> I Pro ect title: <br /> I. (locatio d work description) L - <br /> ~ ~C.O~ ~ lL ~ <br /> Project manager /contact /private engineer: <br /> PROJECT SCOPE: <br /> ~ ` ~ <br /> ~ Paving: ~ ~ 2 , ~ ~ ~ Bike lanes /paths: <br /> (widths) (width) <br /> Concrete walks: ~ Setback /Curbside <br /> (length) (width) , <br /> Wastewater ~ Stormwater Landscaping ~ <br /> Signal Street lights ~ ROW required <br /> New building construction Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County /FAA fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> i <br /> k <br /> i <br /> f <br /> <br /> j APPROVED: , <br /> Project Manager ~tr~ Date Zg ~ <br /> Principal Engineer Date Z- <br /> Facilities Manager Date <br /> City EngjneP~ , Date <br /> i <br /> ~ FOR USE BY ADMINISTRATION ONLY <br /> ~ Capital Project No. I ACK ( ~ ~ / <br /> GL Title <br /> Assigned ~ Date / <br /> Accounting by Date <br /> ATTACHMENTS: <br /> ? Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map p 5 - 0 1 - 0 3 A 0 a ~ 0 [i R C V D <br /> ? File Request Form <br /> ENG 415 WHITE /Finance YELLOW./ Administration File PINK /Engineering File GOLDENROD /Project Manager FEBRUARY 2002 <br /> <br />